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Recognizing Diabetic Neuropathy Symptoms

Diabetic neuropathy is a nerve condition that develops when high blood sugar levels damage the nerves, most often in the feet. It may appear as tingling, burning, numbness, or sharp pain that can worsen over time. Some people notice a loss of sensation, which makes it difficult to feel cuts, blisters, or pressure. Causes are linked to long-term diabetes, poor blood sugar control, and reduced circulation. Risk factors include the duration of diabetes, age, and other health conditions that affect nerve health. A podiatrist plays a key role in identifying early signs through detailed exams and sensory testing. They can help manage complications, monitor skin and nail health, and create a plan to prevent serious issues such as ulcers or infection. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can treat foot neuropathy, and help you to manage this serious condition.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Ankle Pain and the Role of Proper Footwear

Ankle pain affects people of all ages and activity levels. The ankle joint is a complex structure where the tibia, fibula, and talus bones meet to allow movement, such as walking, running, and balancing. Because this joint supports body weight and absorbs impact, it is highly vulnerable to strain and injury. Ankle pain can develop suddenly from trauma or gradually from repetitive stress. Understanding how the ankle functions and what contributes to discomfort can help guide effective treatment and prevention strategies.

Symptoms of ankle pain vary depending on the underlying cause. Individuals may experience swelling, stiffness, and tenderness surrounding the joint. Pain may worsen with movement or weight bearing, making it difficult to walk or stand for long periods of time. In cases of injury such as twisting or rolling the ankle, bruising and instability may occur. Some people report a feeling of weakness or reduced range of motion. These symptoms can interfere with daily activities and may indicate a more serious condition if they persist.

 

Footwear plays a significant role in ankle health. Wearing shoes that are too tight, too loose, or poorly designed can place uneven pressure on the ankle joint. Wearing the wrong size can alter alignment and increase strain on surrounding ligaments and tendons. High heels, worn out soles, and shoes without proper support can contribute to instability and increase the risk of twisting injuries. Over time, wearing improper footwear can lead to chronic ankle pain and reduced mobility. Selecting well-fitting shoes with proper arch support and cushioning is essential for maintaining joint health.

 

Risk factors for ankle pain include physical activity, previous injuries, and environmental hazards. Uneven surfaces, sudden changes in direction, and wearing inadequate footwear increase the likelihood of twisting the ankle. Individuals who participate in sports or stand for extended periods of time may experience added stress on the joint. Treatment options depend on the cause but often include rest, compression, and supportive footwear. If you have ankle pain, it is suggested you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Sever’s Disease in Active Children

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and tension from the Achilles tendon. This condition is most often seen in physically active children who participate in running or jumping sports. During growth spurts, bones can grow faster than muscles and tendons, which increases strain on the heel. This imbalance leads to irritation and discomfort that can affect mobility and performance in daily and athletic activities.

Symptoms of Sever’s disease include heel pain that worsens with activity and improves with rest. Children may complain of soreness at the back or bottom of the heel, especially after sports. Tenderness, mild swelling, and stiffness are also common. Some children may walk on their toes or limp to avoid placing pressure on the heel. Recognizing these symptoms early is important to prevent worsening pain and to support proper healing during active growth phases.

 

Risk factors include participation in high-impact sports, rapid growth periods, and tight calf muscles that increase tension on the heel. Improper footwear that lacks cushioning or support can further contribute to stress on the growth plate. Flat feet or high-arched foot structure may also affect how weight is distributed, increasing strain on the heel. These combined factors make active children more vulnerable to this condition, especially during periods of increased activity or training intensity.

 

Relief from Sever’s disease focuses on reducing stress on the heel and allowing the growth plate to recover. Rest, activity modification, and stretching of the calf muscles are essential components of care. Supportive footwear and heel cushions can help absorb shock and reduce discomfort. Early treatment helps prevent prolonged pain and supports a safe return to activity. If your child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose Sever’s disease and provide effective relief tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Heel Pain May Indicate Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain and is frequently treated in podiatry practices. It involves inflammation of the plantar fascia, which is a thick band of connective tissue that runs along the bottom of the foot from the heel bone to the toes. This structure helps support the arch of the foot and absorbs shock when walking and standing. When the plantar fascia becomes irritated or strained, it can lead to microtears and inflammation, resulting in significant heel discomfort. This condition is often associated with overuse and repetitive stress on the foot.

Symptoms of plantar fasciitis include sharp heel pain that is most noticeable with the first steps in the morning or after periods of rest. The pain may lessen with movement, but can return after long periods of standing, walking, or physical activity. Some individuals describe a stabbing or burning sensation along the bottom of the heel. In more advanced cases, the pain can become persistent and affect walking, exercising, or standing for extended periods. Swelling and tenderness in the heel area may also be present, depending on the severity of inflammation.

Several risk factors increase the likelihood of developing plantar fasciitis. These include obesity, prolonged standing, occupations that require long hours on the feet, and participation in high-impact sports like running. Foot structure also plays a role, as people with flat feet or high arches may place additional stress on the plantar fascia. Footwear without adequate arch support or cushioning can further contribute to strain. Tight calf muscles and limited ankle flexibility are also common contributing factors that increase pressure on the heel and arch.

The primary causes of plantar fasciitis are repetitive strain and excessive tension placed on the plantar fascia. This can occur gradually due to daily activities, sudden increases in physical activity, or poor biomechanics while walking or running. Without proper treatment, the condition may become chronic and lead to ongoing heel pain and reduced mobility. Early recognition and management are important for preventing long-term complications and improving recovery outcomes. If you have heel pain, it is strongly suggested that you consult a podiatrist who can accurately diagnose and treat plantar fasciitis. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kevin H. Lapoff  from Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis
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